| Dr Michael Peter Koumjian, MD | |
|
5525 Grossmont Center Dr, Ste 609, La Mesa, CA 91942 | |
| (619) 466-5700 | |
| (619) 460-8975 |
| Full Name | Dr Michael Peter Koumjian |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 48 Years |
| Location | 5525 Grossmont Center Dr, La Mesa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366403321 | NPI | - | NPPES |
| GR0066270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G37886 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loma Linda University Medical Center-murrieta | Murrieta, CA | Hospital |
| Grossmont Hospital | La mesa, CA | Hospital |
| Entity Name | Scripps Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Michael P Koumjian Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528276078 PECOS PAC ID: 0244266187 Enrollment ID: O20050712001211 |
| Entity Name | On Call Specialists Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962175836 PECOS PAC ID: 7911395231 Enrollment ID: O20211019001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Peter Koumjian, MD 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942-3009 Ph: (619) 466-5700 | Dr Michael Peter Koumjian, MD 5525 Grossmont Center Dr, Ste 609, La Mesa, CA 91942 Ph: (619) 466-5700 |
Hugo Edgardo Gomez-engler, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, Suite 609, La Mesa, CA 91942 Phone: 619-466-5700 Fax: 619-460-8975 |